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rnllr or I e. Form designed for use on elite 12-pitch)typewriter.) Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generator ID Number 22.Page 23,Manifest Tracking Number <br /> (Continuation Sheet) <br /> 24.Generator's Name <br /> 25. Transporter Company Name U.S.EPA ID Number <br /> 26. Transporter Company Name U.S.EPA ID Number <br /> 27a. 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29,Total 30.Unit 31.Waste Codes <br /> HM and Packing Group(if any)) No. Type Quantity Wt.Nol. <br /> I <br /> jr <br /> L en <br /> LLI <br /> } <br /> i <br /> i <br /> i <br /> } <br /> IY <br /> L <br /> rl' } <br /> O <br /> 32.Special Handling Instructions and Additional Information <br /> E S : Lv(g �. <br /> K 33.Transporter Acknowledgment of Receipt of Materials <br /> H Printed/Typed Name Signature Month Day Year <br /> O <br /> CL <br /> Z 34.Transporter Acknowledgment of Receipt of Materials <br /> Printed/Typed Name Signature Month Day Year <br /> F- <br /> r 35.Discrepancy <br /> J_ <br /> U <br /> 'Q <br /> LL <br /> LU <br /> B 36.Hazardous Waste Report Management Method Codes(i.e..codes for hazardous waste treatment,disposal,and recycling systems) <br /> Z <br /> O <br /> Cn <br /> w <br /> 0 <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. GENERAtOW6 WITIAL COPT' <br />